An overview of the information needed to prepare and submit a request for renewal
of certification is provided below. Complete instruction are found on the
SAMHSA OTP Extranet site.

Who may submit Form SMA-162?

Form SMA-162 may only be submitted/signed by an OTP Program Sponsor. The Program
Sponsor's name and contact information, including telephone number and e-mail address,
are required on the form. After submitting an online SMA-162, a confirmation e-mail
will be sent to the Sponsor. The Sponsor will need to click a link supplied in that
e-mail to electronically sign the SMA-162 and complete the submission process. The
submission process will not be complete until the Sponsor clicks the link in that
e-mail. SAMHSA will contact the Sponsor after receipt of a completed SMA-162 if
additional information is required.

What supporting documentation is required with Form SMA-162 for Renewal of Certification?

When submitting an SMA-162 online at the SAMHSA
OTP Extranet Web site for renewal of certification, you must provide a copy
of the application to the accreditation body to which your program has applied,
including the date on which your program applied for accreditation, the dates of
any accreditation surveys that have taken place or are expected to take place, and
the expected schedule for completing the accreditation process.

You can attach this documentation in electronic format on page 2 of the
online SMA-162. The file may be in any of the following formats: .txt, .doc,
.docx, .tiff, or .pdf. .

Notifying SAMHSA of Program Changes

Existing OTPs must notify SAMHSA within 3 weeks of either of the following program
changes:

Change of Program Sponsor

Change of Medical Director

In addition, existing OTPs must apply to SAMHSA to receive approval for:

Relocation

Addition of new medical units (satellite clinics or mobile units)

Additional information about notifying SAMHSA of program changes is available on
the instruction page.